WI Fellowship Travel Reimbursement

Thank you for participating in the Foundations of Community Mental Health Fellowship. Please complete this form and upload all applicable travel receipts. Reimbursements will be issued after documentation has been reviewed and approved.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Fellowship Cohort(Required)

I am a participant in the 2026 Fellowship Cohort

I am a participant from a prior Fellowship Cohort (2022 - 2025)

Participants in the 2026 Fellowship Cohort that live over 275 miles from the hotel are eligible for a $350 travel reimbursement. Participants who booked travel by May 31, 2026 are eligible for an additional reimbursement of up to $100 (depending on total number of requests received).

Participants who booked travel by May 31, 2026 are eligible for an additional reimbursement of up to $150 (depending on flight costs and total number of requests received).

Total Travel Expenses Submitted for Reimbursement(Required)

Please upload all travel receipts and supporting documentation.(Required)

Drop files here or

Max. file size: 512 MB.

Anything else we should know regarding your travel reimbursement request?